Vann, Kimberly Nicole

Vann, Kimberly Nicole is an individual health care provider with primary practice located at 2946 Covington Pike , Memphis TN 38128-6007. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Vann, Kimberly Nicole can be contacted via phone (901) 382-9292.

Contact Information

Primary practice address
2946 Covington Pike Memphis TN 38128-6007
Phone: (901) 382-9292
Fax: (901) 384-5696
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 19303 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19303 Tennessee

Profile Details

NPI number 1699170019
LBN Legal business name Vann, Kimberly Nicole
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2014
Last updated May 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699170019 NPPES
Tennessee MEDICAID Q009906
Tennessee Other 12755888899

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